| Entity Name: | GULFSIDE COUNSELING AND WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Mar 2023 (2 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 01 May 2023 (2 years ago) |
| Document Number: | L23000159755 |
| FEI/EIN Number | 92-3448747 |
| Address: | 1101 GULF BREEZE PKWY, BUILDING 2, SUITE 4, GULF BREEZE, FL, 32561, US |
| Mail Address: | 1101 GULF BREEZE PKWY, BUILDING 2, SUITE 4, GULF BREEZE, FL, 32561, US |
| ZIP code: | 32561 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831886514 | 2023-04-21 | 2024-04-16 | 1101 GULF BREEZE PKW, BLDG 2, STE 4, GULF BREEZE, FL, 325614891, US | 1101 GULF BREEZE PKW, BLDG 2, STE 4, GULF BREEZE, FL, 325614891, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 850-203-0045 |
Authorized person
| Name | STEPHANIE S PETERSON |
| Role | OWNER |
| Phone | 8502613951 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PETERSON STEPHANIE S | Agent | 1101 GULF BREEZE PKWY, GULF BREEZE, FL, 32561 |
| Name | Role | Address |
|---|---|---|
| PETERSON STEPHANIE S | Authorized Member | 1101 GULF BREEZE PKWY, GULF BREEZE, FL, 32561 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2023-05-01 | GULFSIDE COUNSELING AND WELLNESS, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-08 |
| LC Name Change | 2023-05-01 |
| Florida Limited Liability | 2023-03-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
